TY - JOUR
T1 - Does individual experience affect performance during cardiopulmonary resuscitation with additional external distractors?
AU - Krage, R.
AU - Tjon Soei Len, L.
AU - Schober, P.
AU - Kolenbrander, M.
AU - van Groeningen, D.
AU - Loer, S. A.
AU - Wagner, C.
AU - Zwaan, L.
PY - 2014
Y1 - 2014
N2 - Cardiopulmonary resuscitation is perceived as a stressful task. Additional external distractors, such as noise and bystanders, may interfere with crucial tasks and might adversely influence patient outcome. We investigated the effects of external distractors on resuscitation performance of anaesthesia residents and consultants with different levels of experience. Thirty physicians performed two simulated resuscitation scenarios in random order, one scenario without additional distractors (control) and one scenario with additional distractors (noise, scripted family member). Resuscitation performance was assessed by a score based on European Resuscitation Council guidelines, presented as median (IQR [range]). We found that performance scores were lower under experimental conditions (11.8 (9.0-19.5 [-9.0 to 28.5]) than under control conditions 19.5 (14.0-25.5 [5.0-29.5]), p = 0.0002). No interaction was observed between additional distractors and experience level (p = 0.4480). External distractors markedly reduce the quality of cardiopulmonary resuscitation. This suggests that all team members, including senior healthcare providers, require training to improve performance under stressful conditions. © 2014 The Association of Anaesthetists of Great Britain and Ireland.
AB - Cardiopulmonary resuscitation is perceived as a stressful task. Additional external distractors, such as noise and bystanders, may interfere with crucial tasks and might adversely influence patient outcome. We investigated the effects of external distractors on resuscitation performance of anaesthesia residents and consultants with different levels of experience. Thirty physicians performed two simulated resuscitation scenarios in random order, one scenario without additional distractors (control) and one scenario with additional distractors (noise, scripted family member). Resuscitation performance was assessed by a score based on European Resuscitation Council guidelines, presented as median (IQR [range]). We found that performance scores were lower under experimental conditions (11.8 (9.0-19.5 [-9.0 to 28.5]) than under control conditions 19.5 (14.0-25.5 [5.0-29.5]), p = 0.0002). No interaction was observed between additional distractors and experience level (p = 0.4480). External distractors markedly reduce the quality of cardiopulmonary resuscitation. This suggests that all team members, including senior healthcare providers, require training to improve performance under stressful conditions. © 2014 The Association of Anaesthetists of Great Britain and Ireland.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84906058989&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/24888475
U2 - https://doi.org/10.1111/anae.12747
DO - https://doi.org/10.1111/anae.12747
M3 - Article
C2 - 24888475
SN - 0003-2409
VL - 69
SP - 983
EP - 989
JO - Anaesthesia
JF - Anaesthesia
IS - 9
ER -